Enhancing Social Care Data Utilization for Better Care

1. Data supporting better care: the future is nearly here. • Source SC • Scottish Atlas of • Variation Peter Knight, Head of Service, ISD 19 September 2018

2. Programme for workshop • Introduction - Peter Knight • Social care data collection update • Potential outputs using social care data – Lauren Dickson • Future possibilities • Source Platform - Aghimien Iyayi-Igbinovia • Scottish Atlas of Variation – Graham McGowan

3. Dimensions of social care • Annual spend approx £3,000K • Staff (2017): • Public service 63,000 • Private & Voluntary 140,000

4. Broad objectives establishing a common national dataset on social care clients available for multiple health and social care uses, both local and national National dataset Future direction Stakeholders information needs

5. What’s happened since last year • Last year we advised that we were moving to a single social care data collection via Source. A lot has happened since then: • Data collection has been reviewed. • Consultation took place with data providers and data users. • Final dataset agreed and definitions and guidance document updated to reflect new data collection. • Data Sharing Agreement was updated to reflect new data collection and changes required for GDPR. • Data providers have worked hard on producing updated data and submissions have been received.

6. Content of Source Social Care dataset • Self Directed Support • Home Care/Reablement • Telecare/alarms • Care Homes • Day care • Meals • ioRN • Supported by Demographics (incl identifiers)

7. Social care data progress

8. Provisional Plan for data submission • 2017/18 Part-year data • Available from late 2018 • 2018/19 Full-year data • Requested in two 6 month blocks • 2019/20 + Full-year data • Updated quarterly

9. Health and Care Pathways Linked patient level data allows pathway analyses to take place.

10. Health and Care Pathways Linked person level data allows pathway analyses to take place. Person level Social Care data allows broader understanding of what is happening.

11. THANK YOU… HSCPs’ submission of data is a crucial first step to establishing the revised, single, nationally-collected Source Social Care dataset. HSCPs have worked hard to submit this data, and to collaborate with ISD to ensure that it is checked, complete and ready for analysis.

12. Broad objectives establishing a common national dataset on social care clients available for multiple health and social care uses, both local and national National dataset delivering systematically collected information and intelligence to Stakeholders - to meet their wide-ranging information needs Future direction Stakeholders information needs

13. The following slides (14-21) use illustrative data to show possible analyses and linkages from the wealth of data collected by ISD Scotland. Stakeholder Information Needs Potential outputs using social care data Lauren Dickson

14. What we know from Social Care data - Demographics- Age group & Deprivation

15. Care Home Residents - Demographics- Age group & Gender

16. Home care clients Characteristics - Living alone & Average Care home Hours

17. Care homes: Which care homes have highest Percentage of A&E attendances that result in admission to hospital?

18. Care home residents: main reason for emergency admission to hospital

19. Home care clients Linked with hospital admissions to find out about long term conditions

20. Social care clients Linked with records that have a SPARRA score (risk of admission/readmission to hospital) High Risk

21. Social care clients: Locality Linking falls data with clients in receipt of a Social Care package at time of fall

22. Potential linkages of Social Care Data to Health Data - Future • Individual person level to National level. • Scope to link Hospital admissions, Community, Mental Health, Prescribing, Outpatients and Deaths. • Resource and service consumption e.g. Cross sectional analysis of social care services. • Predictive modelling / Projections of activity of linked health and social care data to demonstrate the flow of services. • Social care packages pre or post hospital admissions • Patient outcomes on populations and specific cohorts.

23. Source Platform Information to support Health & Social Care Integration Aghimien Iyayi-Igbinovia

24. Background • Support Integration Authorities with Strategic Planning by: • Providing data and analytical support • Help to evaluate services, through providing evidence for change • Help to transform data into evidence for action • Support available from the local intelligence support team (LIST)

25. Source Platform – Landing page • Three levels of access – Scotland (national overview), Partnership Aggregate and Partnership Detailed • 16 Workbooks • Over 100 Dashboards • Approximately 200 users • Across various HSCPs

26. Source Tableau Outputs • The Source Tableau outputs consist of a series of workbooks covering a range of topics: • Health and Social Care Expenditure • Hospital Expenditure & Activity • High Resource Individuals • Long Term Conditions • Delayed Discharges • Accident and Emergency • Integration Indicators • Population and Pathways Matrix • Location of Death • https://public.tableau.com/profile/hsc.source#!/

27. Access to Source Platform • Access available to HSCPs/LA, LIST colleagues and ISD analysts • Signed Data Sharing Agreement

28. Broad objectives establishing a common national dataset on social care clients available for multiple health and social care uses, both local and national National dataset delivering systematically collected information and intelligence to Stakeholders - to meet their wide-ranging information needs. The Future Stakeholders information needs

29. Develop analysis based on feedback. • Visualise analysis in source Platform. • Publication. • Linkage to other datasets. • New data. • The Future

30. Contact: NSS.Source@nhs.net Web: www.isdscotland.organd search ‘Source dataset’

31. Scottish Atlas of Variation Graham McGowan https://www.isdscotland.org/products-and-services/scottish-atlas-of-variation/